Individual provider Active NPI

Seyed Morteza Mahmoudi, MD

  • Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1295120202
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
316384 Issued in NY
Practice address
381 Rockaway Ave
Brooklyn, NY 11212
Phone
(917) 297-8603
Fax
(701) 780-4477
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25M10908100 NJ
Pediatrics Physician 208000000X PT15121 ND
Pediatrics Physician 208000000X 316384 NY
Pain Medicine Physician 208VP0000X 316384 NY Primary

Addresses

Primary practice location

381 Rockaway Ave
Brooklyn, NY 11212

Mailing address

381 Rockaway Ave
Brooklyn, NY 11212-5635
Phone (718) 522-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220701000789 NJ Practitioner - Pediatric Medicine 2365799483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PT15121NDMDPediatrics Physician
25M10908100NJMDPediatrics Physician
316384NYMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC CurrentSince Jun 1, 2022 Accepting new patients
Compass Medical Wellness, P.C. Pediatrics Current Accepting new patients
Encompass Medical Wellness, P.C. Pediatrics Current Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

381 Rockaway Ave
Brooklyn, NY 11212
Phone (347) 201-1051

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1295120202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125635",
            "telephone_number": "718-522-3400",
            "fax_number": "347-533-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "917-297-8603",
            "fax_number": "701-780-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUDI",
        "first_name": "SEYED MORTEZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25M10908100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ND",
            "license": "PT15121",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "316384",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "316384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.